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We have utilized critical paths as a hospital policy since 1998 and a multi-disciplinary team, termed 'Critical Path Project Team' has suggested taking evidence based medicine into the paths as long as possible, in order to improve quality of care. The Team has made several recommendations to prevent nosocomial infections. For the prevention of surgical site infection (SSI), 1) No hair should be removed by razor shave, 2) Unify the prophylactic antimicrobial agent and shorten its duration, 3) Use one packed sterile dressing and forceps for one patient. For the prevention of catheter-related bloodstream infection (CRBSI), 1) Closed in-line system should be put to the central line, 2) Do not routinely use the in-line filters for the prevention of CRBSI, 3) Do not use heparin lock to any catheter, 4) Alcohol solution for catheter-site antisepsis should be prepared every 24hrs. These recommendations are thought to have been effective in reducing both SSI and CRBSI. The incidence of nosocomial infection dropped from 2.3% in 1998 to 1.2% in 2000 (P<0.0001).
- 特定非営利活動法人 日本医療マネジメント学会の論文
特定非営利活動法人 日本医療マネジメント学会 | 論文
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